Re-lodged application MCU16/0121

                                                                    Df'pJullnenl ollnfra"truClu,e,   LOt,l! GO\l~,"menl and PIJnnlng



Table J
Lot on plan description lor strategic port land                     Port authority for the lot




Table K
Name of local government for the tidal area (if applicable)         Port authority for the tidal area (~ applicable)



8.     Are there any existing easements on the premises? (e.g. for vehicular access. electricity, overland now,
       water etc)

~      No     0 Yes-ensure the type, location and dimension of each easement is included in the plans submitted
9.     Does the proposal Include new building work or operational work on the premises? (Including any
       services)

o      No     0    Yes-ensure    the nature, location and dimension 01proposed works are included in plans submitted

10.    Is the payment of a portable long service leave levy applicable to this application?              (Refer to notes at the
       end of this form for more inlormation.)

0' NC>--ilo to question 12 '        DYes

 11.   Has the portable long service leave levy been paid? (Refer to notes at the end of this form lor more
       information.)

 o     No

 o     Yes-<:omplete Table L and submit with this application the yellow local governmenUprivate certifier's copy of the
       receipted QLeave lorm

 TableL
 Amount paid                                                      Date paid         QLeave project number (6 digit number
                                                                  (ddlmm/yy)        starting with A, S, E, L or P)




 12.      Has the local government agreed to apply a superseded planning scheme to this application under
          section 96 of the Sustainable Planning Act 20091


 bZf No
 D Yes-please provide details below
 Name 01local governmenl                          Date of written notice given     Reference number 01written nolice given
                                                  by local government              by local government (~applicable)
                                                  (dd/mm/yy)




                                                                                                     IDAS form 1 AI. '-) , "            I
                                                                                                         Vt.,r 11)11 oJ ~ 3 AUfltJslL015